282
5. Watson RM. Impression technique
8 Resultant definitive cast.
SUMMARY
A definitive impression technique
using both impression wax and vi-
nyl polysiloxane impression material
for displaceable mandibular residual
ridges is described. Consideration has
been given to the choice of impres-
sion materials as well as to the design
of the impression tray to minimize the
amount of pressure exerted onto the
displaceable regions of the residual
ridges during the impression-making
procedure.
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Corresponding author:
Dr Radi Masri
650 West Baltimore St, Room 4228
Baltimore, MD 21201
Fax: 410-706-1565
E-mail: rmasri@umaryland.edu
Copyright © 2009 by the Editorial Council for
The Journal of Prosthetic Dentistry.
Tan et al
Method for fabrication of a cast
mounting device with interchangeable
occlusal templates
Jimmy Londono, DDS,a and Philip S. Baker, DDSb
School of Dentistry, Medical College of Georgia, Augusta, Ga
The cast mounting device is an in- able occlusal templates for orienting from the open end of the cup, reduce
dex for positioning a patient’s maxil- the maxillary cast in articulators using it approximately 10 mm more than
lary cast within the dental articulator. mounting plates. It may permit use of the required final plane height.
This technique is commonly based a single duplicate template on mul- 4. Obtain an indexed dowel pin
upon average measurements made tiple brands and models of articula- and matching sleeve (MR PIN - Dual
from anatomic landmarks. Although tors, when appropriate template bas- Pin and Sleeve; Select Dental Mfg
many studies1-23 have investigated es have been made using the outlined Co, Farmingdale, NY). Using a pencil
arbitrary or kinematic facebows to technique. Alternatively, multiple oc- point, place a hole in the center of the
determine whether they are more ac- clusal templates could be fabricated cup bottom with a diameter slightly
curate methods for cast orientation, to fit a single base made for a specific greater than the widest diameter of
controversy over their use contin- model, system, or brand of articula- the dowel sleeve. Mix mounting stone
ues.24 tor, depending on the manufacturer’s (Mounting Stone; Whip Mix Corp)
Some commercial mounting de- design. and fill the modified cup. Place some
vices currently available are the Artex of the remaining mounting stone into
Set Up Templates for Complete Den- PROCEDURE the retentive features of the mount-
tures (Amann Girrbach AG, Koblach, ing plate on the articulator. Invert the
Austria), the Denar HIP Mounting 1. Using a vacuum forming device stone-filled cup and place it on top of
Platform (Whip Mix Corp, Louisville, (UltraVac Vacuum Former; Ultradent the loaded mounting plate, adjusting
Ky), and the Quick Master Articu- Products, Inc, South Jordan, Utah), for correct alignment as needed. Re-
lator System Mounting Table (FAG duplicate the metal occlusal template move any excess stone expressed from
Dentaire, Cluses, France). The Artex (Trubyte 20 Degree Posterior Tem- the opening in the bottom of the cup,
index is designed for use only in com- plate; Dentsply Intl, York, Pa) with so that it is approximately at the height
plete denture treatment, while the 0.080-inch hard, clear splint material of the original paper bottom. Prior to
Denar Platform and the Quick Mas- (Henry Schein, Inc, Melville, NY). initial stone set, embed the single pin
ter Mounting Tables are intended for 2. Trim the thermoplastic sheet to end of the dowel pin patrix in the cen-
dentulous as well as edentulous pa- the original external template outline tered cup hole, with the pin oriented
tient applications. with a vacuum form trimming bur perpendicular to the table top and
The primary limitation of these (Brasseler H219S.11.023; Brasseler pin shoulder at the level of the stone
commercial devices is their lack of USA, Savannah, Ga). Do not remove surface. Note that the template base
interchangeability with other manu- material from the lingual area. is now completed (Fig. 1, A).
facturers’ articulator systems. Unless 3. Secure a mounting plate to 5. Place a hole in the center of the
the dentist uses the appropriate ar- the lower member of the articulator duplicate 20-degree template using
ticulator with a specific cast mount- of choice. Center an inverted 6-oz a medium acrylic resin trimming bur
ing device, it cannot be ensured that waxed paper cup (Solo Cup Co, High- (Brasseler E-Cutter H79E-050; Bras-
the components will be compatible in land Park, Ill) on top of the mount- seler USA); the hole should allow pas-
either fit or orientation. ing plate. Position the duplicated, sage of the matrix sleeve of the dowel
The purpose of this article is to trimmed template on the cup and pin. Seat the matrix fully on the pa-
describe a simple, quick, and inex- determine the appropriate cup height trix. Place the template on the seated
pensive method for fabricating a to establish the desired occlusal plane sleeve, avoiding dislodgement of the
mounting device with interchange- level within the articulator. Trimming sleeve from the patrix. Position the
Clinical Instructor, Department of Oral Rehabilitation.
a
Associate Professor, Department of Oral Rehabilitation.
b
(J Prosthet Dent 2009;101:283-284)
Londono and Baker